Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2022
The impact of aging on symptom prevalence and management in terminally ill patients with cancer.
With global population aging, the number of older patients with cancer is increasing. However, few data are available on palliative care for these patients. ⋯ We found age to be inversely related to symptom prevalence and medical interventions among terminally ill patients with cancer, contributing to the understanding of the experience of older patients with cancer.
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J Pain Symptom Manage · Feb 2022
ReviewInterventions to Improve Prognostic Understanding in Advanced Stages of Life-Limiting Illness: A Systematic Review.
Among patients with advanced life-limiting illness, an inaccurate understanding of prognosis is common and associated with negative outcomes. Recent years have seen an emergence of new interventions tested for their potential to improve prognostic understanding. However, this literature has yet to be synthesized. ⋯ Prognostic understanding interventions hold the potential to improve patient understanding and thus informed decision making, but limitations exist. Future research should examine why many patients receiving intervention may continue to maintain inaccurate perceptions, and identify which intervention components can best enhance informed, value-consistent decision making.
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J Pain Symptom Manage · Feb 2022
Randomized Controlled TrialCompletion of Patient-Reported Outcome Questionnaires among Older Adults with Advanced Cancer.
Systematic collection of patient-reported outcomes (PROs) reduces symptom burden and improves quality of life. The ability of older adults to complete PROs, however, has not been thoroughly studied. ⋯ Over a quarter of older adults with advanced cancer in this study received assistance completing PROs. Completing PROs is a key aspect of many clinical programs and cancer trials; assistance in completing PROs should be offered and provided.
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J Pain Symptom Manage · Feb 2022
Randomized Controlled TrialA Motivational Interviewing Intervention Improves Physical Symptoms in Patients with Heart Failure: A Secondary Outcome Analysis of the MOTIVATE-HF Randomized Controlled Trial.
Heart failure (HF) patients experience high burden of physical symptoms during their disease trajectory. ⋯ MI reduces the burden of physical HF symptoms, particularly when caregivers are involved in the intervention.